Health Insurance Cover for 1 crore Gig Workers

Syllabus: GS3/Economy

Context

  • The Union Finance Minister has announced that gig workers would be eligible for healthcare facilities under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PMJAY) scheme.

About

  • The total outlay for health in this year’s budget has increased by over ₹9,000 crore.
    • It will finance key programmes such as the mission to increase infrastructure, Ayushman Bharat, as well as allocation for All India Institute of Medical Sciences-Delhi.
  • The Jan Arogya Yojana provides a cover of Rs 5 lakh per beneficiaryfamily per year for secondary and tertiary care hospitalization across public and private empanelled hospitals in India.
    • However, the details on whether the families of gig workers will be covered or not are yet to be provided.
Data on Health Insurance in India (NITI Aayog)
– Only around 10% of India’s population have bought private health insurance, while nearly 60% are estimated to be covered by government-funded schemes. 
– The remaining 30% – more than 400 million people – still lack any form of health insurance.

Who are Gig Workers?

  • Non-standard or gig work consists of income-earning activities outside of standard, long-term employer-employee relationships. 
  • It relies heavily on temporary and part-time positions filled by independent contractors and freelancers rather than full-time permanent employees.
  • The term is borrowed from the music world, where performers book “gigs” that are single or short-term engagements at various venues.
  • The gig economy uses digital platforms to connect freelancers with customers to provide short-term services or asset-sharing.
    • Examples include ride-hailing apps, food delivery apps, and holiday rental apps.

India and Gig Economy

  • In 2020, 7.7 million workers were engaged in the gig economy. 
  • The gig workforce is expected to expand to 23.5 million workers or 4.1% of total workforce by 2029-30. 
  • At present about 47% of the gig work is in medium skilled jobs, about 22% in high skilled, and about 31% in low skilled jobs. 
  • Its contribution to India’s gross domestic product (GDP) is estimated to be substantial, with the potential to add 1.25% to GDP by 2030, and create 90 million jobs in the long term. 

Reasons for a rise in Gig Workers

  • Post Pandemic: The trend accelerated during the 2020 COVID-19 pandemic, as gig workers delivered necessities to home-bound consumers, and those whose jobs had been eliminated turned to part-time and contract work for income. 
  • Freedom to work from anywhere: These types of positions facilitate independent contracting work, with many of them not requiring a freelancer to come into an office. 
  • Rise of Technology and Internet: Rise of fast internet and smartphones have made it easier to work from anywhere easily.
  • Convenient for Small Organisations: Employers who cannot afford to hire full-time employees to do all the work will often hire part-time or temporary employees to take care of busier times or specific projects.
  • Benefits Employers: Employers do not need to provide related benefits, such as medical insurance, Provident Fund, and year-end bonuses which make it a better option for them to pay only for work on a unit basis.

Challenges

  • Work-life balance: For some workers, the flexibility of working gigs can actually disrupt the work-life balance, sleep patterns, and activities of daily life.
  • Can replace Full time employees: The number of full-time employees required by the company can be reduced as freelance workers take over the work.
  • No regular job benefits: Many employers save money by avoiding paying benefits such as health coverage and paid vacation time.
    • There is no formal employment relationship with the platform company and there are usually no employee benefits in short-term contracts.

Steps Taken by Government of India for Gig Workers

  • Code of Social Security, 2020: The Government has formulated the Code on Social Security, 2020 which envisages framing of suitable social security schemes for gig workers and platform workers on matters relating to life and disability cover, accident insurance, health and maternity benefits, old age protection, etc.
    • However, these provisions under the Code have not come into force. 
  • e-Shram Portal: The Government has also launched e-Shram portal in 2021 for registration and creation of a Comprehensive National Database of Unorganized Workers including gig workers and platform workers. 
    • It allows a person to register himself or herself on the portal on a self-declaration basis, which is spread across around 400 occupations.

Conclusion

  • Not having the health coverage enjoyed by many people who are in traditional full-time employment, gig workers are particularly vulnerable to medical expenses. These costs can sometimes be catastrophic. 
  • As they often lack job security and associated benefits of full-time employment, government-backed coverage could provide a crucial safety net.

Source: IE